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KMID : 0806120170470020188
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대한간호학회지
2017 Volume.47 No. 2 p.188 ~ p.198
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Effects of a Relapse Prevention Program on Insight, Empowerment and Treatment Adherence in Patients with Schizophrenia
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Chung Chae-Weon
Kim Sung-Jae
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Abstract
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Purpose: The purpose of this study was to develop a relapse prevention program (RPP) and examine the effects of the RPP on insight, empowerment,and treatment adherence in patients with schizophrenia.
Methods: A non-equivalent control group pretest-posttest design was used. Participantswere 54 inpatients who had a diagnosis of schizophrenia (experimental group: 26, control group: 28). The study was carried out fromFebruary 7, 2012 to February 6, 2013. Over a 10-day period prior to discharge each participant in the experimental group received three onehoursessions of RPP a one-to-one patient-nurse interaction. Data were collected using Assess Unawareness of Mental Disorder (SUMD), EmpowermentScale, and Insight and Treatment Attitude Questionnaire (ITAQ) and analyzed using PASW 18.0 with chi-square test, independent ttest,Mann-Whitney U test, and ANCOVA.
Results: The experimental group had a significant increase in insight and treatment adherence comparedto the control group. However, there was no significant difference in empowerment between the two groups.
Conclusion: Findings indicatethat the RPP for patients with schizophrenia was effective in improving insight and treatment adherence. A longitudinal study is needed toconfirm the persistence of these effects of RPP in patients with schizophrenia.
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KEYWORD
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Schizophrenia, Relapse, Prevention, Treatment, Empowerment
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